5 medical case manager ii jobs found

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Field (Medical) Case Manager position in the Nashville, TN area. Work from home, and on the road. Monday – Friday, regular business hours.   As a Medical Case Manager you will make a meaningful difference in the lives of injured workers and their families.  Your responsibilities include working closely with injured workers to facilitate their recovery. You will work collaboratively with the patient, their family, medical providers, members of our team, and others.  This is a heavy local travel role responsible for working with a caseload of workers compensation injured workers within a defined jurisdiction. Candidates must live in the Nashville, TN area. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provides in-person and telephonic Medical Case Management to individuals, involving the patient, physician, other health care providers, the employer, and the...

The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Supervises claims staff in their day-to-day operations Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval) Provides technical and jurisdictional guidance to claims staff...

The Telephonic Case Manager II coordinates resources and develops cost-effective, personalized care plans for ill or injured individuals. The goal is to support quality treatment and, when appropriate, a timely return to work. This role uses clinical expertise to assess the appropriateness of current treatment plans based on the patient’s medical and physical condition. The Case Manager communicates directly with treating physicians to evaluate and recommend alternative care options when needed. They also explain medical conditions and treatment plans to patients, family members, and adjusters, while supporting the objectives of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provide medical case management to individuals through coordination with the patient, the physician, other health care providers, the employer, and the referral source Provide assessment, planning, implementation, and evaluation...

If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care. Territory: This role covers the Anderson, Knox, and Union County area within Tennessee and surrounding areas. Ideal Candidate Locations: The ideal candidate will live in Knoxville, TN or surrounding area (counties listed above).   This is a work-from-home position with day travel to policy locations (on average 3-4 days a week) via company vehicle (personal use, gas and maintenance included). Claims inspections will include onsite and virtual...

The RTW coordinator facilitates safe, timely and appropriate return to work outcomes for injured employees. Through working partnerships with CorVel’s clients, the coordinator will identify RTW potential and will coordinate activities to achieve return to work outcomes that are successful for our clients and the employee. This is a remote role. Candidates must reside in Tennessee.  ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Direct contact with the client, injured employees and healthcare providers to determine RTW potential and coordinate RTW efforts Active participation in RTW efforts with examiner and nurse case managers Actively works with physicians to clarify medical restrictions, limitations and their impact on work functionality Works with client locations to identify job functions that can be modified and creates a bank of potential RTW job descriptions for future use Monitors injured workers' RTW status to increase functional ability before RTW...